Associate of Applied Science in NursingNURSING STUDENT HANDBOOK

3000 NORTH FOURTH STREET | FLAGSTAFF, ARIZONA 86004-1825P. (928) 526-7640 | www.coconino.edu/nursing-AAS

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COCONINO

COMMUNITY

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Table of Contents

COCONINO COMMUNITY COLLEGE MISSION STATEMENT 4

NURSING DEPARTMENT MISSION/VISION 4

PHILOSOPHY 4

NURSING PROGRAM GOALS 4

NURSING PROGRAM OUTCOMES 4

END OF PROGRAM STUDENT LEARNING OUTCOMES (EPSLO) 4

STUDENT LEARNING OUTCOMES BY COURSE 5

PROGRAM CONCEPTUAL FRAMEWORK AND COMPETENCIES 7

ASSOCIATE IN APPLIED SCIENCE NURSING DEGREE PROGRAM OF STUDY 8

Nursing Course Outlines 8

ADMISSION, PROGRESSION, WITHDRAWAL, DISMISSAL, AND READMISSION POLICIES 8

Admission 8

New Student Orientation 9

Progression 9

Withdrawal 9

Dismissal/Readmission 9

Transfer Students/Advanced Placement 10

Advisors 10

GRADUATION REQUIREMENTS 10

HEALTH REQUIREMENTS 10

Documentation 10

Policy Related to Pregnancy, Medication, and other Health Related Concerns 11

Blood and Body Fluid/Needle-Stick Exposure Protocol 11

GIFTS 12

ACADEMIC POLICIES 12

Code of Conduct 12

Professionalism 12

Respectful Behavior 12

Academic Honesty/Integrity 13

Cell Phone and Social Media Use 14

Dress Code 14

ARIZONA NURSE PRACTICE ACT and SAFE PRACTICE POLICY 15

R4-19-403 Unprofessional Conduct 15

[1]Updated 6/23/21 KC

Medication Administration 16

Occurrences 17

Chain of Command 17

Student Appeals 17

CRIMINAL BACKGROUND CHECK 17

INTERPRETATION OF FELONY BAR STATUTES 17

"Felony bar" cases: 18

SUBSTANCE ABUSE 18

ATTENDANCE POLICY 18

ACADEMIC GRADING POLICY 18

Grading Scale 19

Academic Notification 20

Assessment Technologies Institute (ATI) 20

TECHNOLOGY REQUIREMENTS 20

CLINICAL REQUIREMENTS 20

Supervision During Clinical 21

Clinical Grading Policy 21

Personal Belongings in the Clinical Setting 22

Insurance 22

Missed Clinical Experiences 22

Working Prior to Clinical Rotations 22

Communicating with Clinical Facilities 22

STUDENT RIGHTS AND RESPONSIBILITIES 22

Student Participation in Program/Student Representatives 22

Student Evaluations 23

COMMUNICATION 23

SNOW DAYS 23

STUDENT SAFETY 23

APPENDIX A: Coconino Community College Policies (not a complete list) 24

Procedure on Screening for Use of Alcohol and Drugs 25

APPENDIX B: Nursing Course Outlines 27

APPENDIX C: Clinical and Simulation Information and Outcomes 28

Technology in Simulation and Clinical Settings 28

Simulation Lab Student Learning Outcomes 28

Clinical Outcomes 29

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APPENDIX D: Nursing Technical Standards/Functional Abilities 30

APPENDIX E: Minimal Knowledge and Skills/Scope of Practice 32

Appendix F: Guidelines for Student Leaders (Representatives) 36

Appendix G: Nursing Program Costs 37

Appendix H: Clinical Evaluation Tool 39

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COCONINO COMMUNITY COLLEGE MISSION STATEMENTCoconino Community College is committed to providing accessible and affordable educational programs thatprepare students for the future. Deeply engaged with the communities we serve, we promote student successthrough a welcoming and inclusive learning environment designed for innovative programming, career andworkforce development, university transfer education, and continued life-long learning opportunities.

NURSING DEPARTMENT MISSION/VISIONThe CCC nursing program’s mission is to build a professional, safe and diverse nursing workforce to advance thehealth of our local, national, and global communities through nursing’s core values of caring, integrity, diversity andexcellence.

PHILOSOPHYThe nursing faculty shares the mission and vision of Coconino Community College. Nursing faculty hold the beliefthat nursing is an art and science. A complete nursing education curriculum integrates knowledge from thesciences and humanities. Nursing faculty are committed to contributing to the profession through teaching andmaintaining knowledge of current nursing practice and educational methods. The nursing faculty recognizes thatnursing students are unique, have individual learning needs and their engagement with students contributes tothe learning experience. Active student participation, which includes setting personal goals and taking ownershipof program content and skills mastery, is essential to their success.

NURSING PROGRAM GOALS1. Provide the community an economically feasible way to advance a career in healthcare.2. Improve student learning by providing students with innovative teaching strategies.3. Engage with students to promote retention within the nursing program.4. Empower students to create and achieve goals throughout the nursing program.

NURSING PROGRAM OUTCOMESThe nursing program measures student success after completion of the program. The following areas are tracked andevaluated.

1. NCLEX-RN pass rates2. Program completion rate3. Employment rates

END OF PROGRAM STUDENT LEARNING OUTCOMES (EPSLO)The student will be able to:

1. prioritize care for multiple patients.2. demonstrate technical skills required of a registered nurse.3. incorporate current evidence into clinical practice.4. demonstrate patient, self, and environmental safety.5. demonstrate professional, ethical and legal behaviors of a registered nurse.6. utilize the nursing process effectively to provide client- centered care.7. integrate healthcare technology into clinical practice.8. function effectively within nursing and interprofessional teams.

End of Program Student Learning Outcomes are determined by various means of assessment including, but notlimited to skills lab, case studies, virtual simulation, high fidelity simulation, clinical, quizzes/tests, concept maps,assignments, and care plans.

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STUDENT LEARNING OUTCOMES BY COURSE

EPSLO NUR 116 NUR 124 NUR 215 NUR 220

prioritize care for multiple patients identify frameworks for prioritizingclient care.

apply prioritizing frameworks tocare for patients in an adultmedical-surgical setting.

apply prioritizing frameworks tocare for the mental health,pediatric, newborn and childbearingfamilies.

demonstrate the ability to prioritizecare for multiple complex patients.

demonstrate technical skillsrequired of a registered nurse

demonstrate competence inperforming nursing skills in the skillslab.

demonstrate competence inperforming supervised nursing skillsin an adult medical-surgical setting.

demonstrate competence inperforming nursing skills for mentalhealth, pediatric, newborn andchildbearing families.

demonstrate proficiency oftechnical skills for multiple complexpatients.

incorporate current evidence intoclinical practice

apply evidence-based practice toclient care.

apply evidence-based practices incaring for patients in anadult-medical surgical setting.

apply evidence-based practices incare of mental health, pediatric,newborn and childbearing families.

integrate current evidence intoclinical practice for multiplecomplex patients.

demonstrate patient, self, andenvironmental safety

identify the safety needs of patientsand nurses.

demonstrate safe practices in theadult medical-surgical setting.

demonstrate safe practices in themental health, pediatric, andmaternal-newborn settings.

manage the safety needs ofcomplex patients and thehealthcare team.

demonstrate professional, ethicaland legal behaviors of a registerednurse

identify ethical and legal behaviorsof a nurse.

demonstrate ethical and legalbehaviors of a nurse in anadult-medical surgical setting.

Demonstrate ethical and legalbehaviors of a nurse with mentalhealth, pediatric, newborn andchildbearing families.

demonstrate the ethical and legalbehaviors of a nurse in themanagement of complex patients.

utilize the nursing processeffectively to provide client-centered care

demonstrate the ability toformulate a plan of care based onaccurate client assessment.

apply the nursing process to provideclient-centered care in the clinicalsetting.

apply the nursing process to provideclient-centered care with mentalhealth, pediatric, newborn andchildbearing families.

utilize clinical reasoning principlesto formulate and implement aclient-centered plan of care forcomplex patients.

integrate healthcare technologyinto clinical practice

utilize technology appropriately inclient care.

utilize appropriate technology whilecaring for patients in adultmedical-surgical settings.

utilize appropriate technology whilecaring for mental health, pediatric,newborn and childbearing families.

utilize appropriate technology whilecaring for complex patients.

function effectively within nursingand interprofessional teams

report on therapeuticcommunication styles of otherhealthcare professionals.

demonstrate collegiality andteamwork with nursing andinterprofessional teams in anadult-medical surgical setting.

demonstrate collegiality andteamwork with nursing andinterprofessional teams for mentalhealth, pediatric, newborn andchildbearing families.

functions effectively within nursingand interprofessional teams tofoster communication,collaboration, mutual respect, andshared decision making.

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EPSLO NUR 114 NUR 222

prioritize care for multiple patients assess priorities in patient management.

demonstrate technical skills required of a registerednurse

list the eight rights of medication administration. evaluate the role transition from student to professionalnurse.

incorporate current evidence into clinical practice explain the application of current evidence for use withmedicine administration.

validate sources of current evidence for nursingpractice.

demonstrate patient, self, and environmental safety

demonstrate professional, ethical and legal behaviorsof a registered nurse

identify accountability, ethical and legal responsibilitiesof the professional nurse related to safe drugadministration.

evaluate professional, ethical, and legal behaviors of aregistered nurse.

utilize the nursing process effectively to provide client-centered care

address indications, routes, side effects, and adverseeffects of medications introduced in this course.

integrate healthcare technology into clinical practice discuss the role of technology in client care.

function effectively within nursing andinterprofessional teams

distinguish the roles of the hospital pharmacists, healthcare providers, and nurses for individualization ofpharmacological interventions.

distinguish among various nursing leadership skills.

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PROGRAM CONCEPTUAL FRAMEWORK AND COMPETENCIESA conceptual framework provides an organizing structure for implementation of learning experiences throughout the nursing program. Students must be able todemonstrate satisfactory performance guided by nationally recognized standards and competencies. End of Program Student Learning Outcomes were createdaround Quality and Safety Education for Nursing (QSEN). The following is a guide to competencies that students must perform in order to successfully completethe nursing program.

EPSLO QSEN ANA Standards of ProfessionalPerformance

ANA Standards of NursingPractice

Clinical Judgment Model NLN Competencies

prioritize care for multiple patients Patient-centered careTeamwork/CollaborationSafetyInformatics

AssessmentPlanning

Recognize CuesAnalyze CuesPrioritize HypothesesGenerate Solutions

Nursing judgement

demonstrate technical skills requiredof a registered nurse

Patient-centered careEBPSafetyInformatics

Implementation Take ActionEvaluate Outcomes

incorporate current evidence intoclinical practice

Patient-centered careEBPQISafetyInformatics

EducationEvidence-basedPractice/researchQuality of practice

Outcomes IdentificationPlanningImplementation

HypothesesGenerate SolutionsTake ActionEvaluate Outcomes

Spirit of inquiry

demonstrate patient, self, andenvironmental safety

Patient-centered careTeamwork/CollaborationSafety

Environmental health Implementation Take ActionEvaluate Outcomes

demonstrate professional, ethicaland legal behaviors of a registerednurse

Patient-centered careTeamwork/CollaborationEBPQI

EthicsCulturally congruent practiceResource utilization

Implementation Take ActionEvaluate Outcomes

Professional identity

utilize the nursing process effectivelyto provide client-centered care

Patient-centered careTeamwork/CollaborationEBPQISafetyInformatics

Quality of practiceProfessional practiceevaluation

AssessmentDiagnosisOutcomes IdentificationPlanningImplementationEvaluation

Recognize CuesAnalyze CuesPrioritize HypothesesGenerate SolutionsTake ActionsEvaluate Outcomes

Nursing judgement

integrate healthcare technology intoclinical practice

Patient-centered careQISafetyInformatics

Professional practiceevaluationResource utilization

Implementation Take ActionsEvaluate Outcomes

function effectively within nursingand interprofessional teams

Patient-centered careTeamwork/CollaborationQISafetyInformatics

CommunicationCollaborationLeadershipResource utilization

Implementation Take ActionsEvaluate Outcomes

Human flourishing

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ASSOCIATE IN APPLIED SCIENCE NURSING DEGREE PROGRAM OF STUDYCurriculum Academic Year 2021-2022

General Education Courses Credit HoursENG 101 English Composition I* 3ENG 102 English Composition II* 3MAT 140 (or higher) College Mathematics* 3-5BIO 201 Human Anatomy & Physiology I* 4BIO 202 Human Anatomy & Physiology II* 4BIO 205 Microbiology** 4BIO 218 Human Pathophysiology** 4CHM 130 Fundamentals of Chemistry* 4NTR 135 Human Nutrition** 3PSY 240 Developmental Psychology** 3AH Arts and Humanities elective** 3

Total General Education Credits 38-40

Nursing Core Courses Credit HoursNUR 114 Introduction to Nursing Pharmacology 3NUR 116 Nursing Concepts I 7NUR 124 Nursing Concepts II 9NUR 215 Nursing Concepts III 9NUR 220 Nursing Concepts IV 9NUR 222 Management & Leadership in Nursing 2

Total AAS Nursing Degree Credit Hours 77-79

*Prerequisite courses required to be completed prior to entering the Nursing Program**Corequisite courses, but strongly encouraged to complete prior to entering the Nursing program

Nursing Course OutlinesSee Appendix B

ADMISSION, PROGRESSION, WITHDRAWAL, DISMISSAL, AND READMISSION POLICIES

AdmissionTo be eligible to apply for admission to the Associate of Applied Science in nursing program the applicant isrequired to complete the following:

● Application for admission to Coconino Community College● Completion of the current year’s nursing program application (available in October yearly)● Submission of all official transcripts that apply to the nursing program to the CCC registrar for evaluation prior to

the application process● Submission of official transcripts with the application to the nursing program (official transcripts must be in a

sealed envelope) and a copy of DegreeWorks● Grade of “C” or higher in all required prerequisite courses● Cumulative grade point average of 3.0 on a four-point scale or higher on required pre/co-requisite courses● Verification of current Arizona Nursing Assistant (LNA) license● Submission of a copy of an Arizona DPS Fingerprint Card, Level 1● Completion of the ATI TEAS exam with a minimum score of 66.1%

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● Attendance to an Application Information Session (dates and times are located on the Nursing ProgramInformation webpage)

New Student OrientationAll new students to the Nursing Program are required to attend a one-day orientation. Required orientationactivities must be completed and include:

● Review of Nursing Student Handbook and sign acknowledgement● Obtain CCC student ID badge● Purchase approved scrubs● Set up ATI account and complete learning activity● Complete plagiarism certificate● Complete COVID-19 certificate● Complete change of major form● Tour of facility● Other activities outlined by the agenda (varies from year to year)

ProgressionProgression through the Nursing Program requires students to obtain a “B” or higher in each course in addition tosuccessfully passing clinical experiences.

WithdrawalThe nursing program follows CCC’s procedure on Student Withdrawal (501-11). It is strongly recommended thatthe student speaks with the nursing instructor and Director of Nursing prior to withdrawing from the course.

Course Withdrawal● A student may initiate an official withdrawal from any course by completing the withdrawal process online using

the student self-service system or by submitting a course drop form to the Registration and Enrollment ServicesOffice. Withdrawals must be made within the published deadlines. (See 501-03 Registration Information)

● It is the student’s responsibility to withdraw from any class they do not intend to complete. If a student stopsattending and does not withdraw by the withdrawal deadline the instructor will assign the earned final grade.Students are encouraged to discuss withdrawal options with their instructors and with the Office of Financial Aidand Veterans Services (if a financial aid or Veterans education benefits recipient).

● A grade of “W” indicates that the student withdrew from the class after the end of the drop period but on orbefore the withdrawal deadline.

● A grade of “W” is not calculated in the grade point average but is included in attempted hours of completion.● Tuition refunds will only be processed within the refund period.

Term Withdrawal of Financial Aid Students● In accordance with the federal regulations (34 CFR 668.22), a student may be required to repay federal financial

aid funds if they completely withdraw or are withdrawn by the College. Students are encouraged to contact theOffice of Financial Aid and Veteran Services.

● A Return to Title IV calculation will be determined for students who follow official withdrawal procedures as wellas for students who stop attending classes. Students may be required to return unearned Federal Grant orFederal Loan funds.

Dismissal/ReadmissionStudents who earn a grade below “B” or withdraw from any nursing course (due to failure of a course) mayrequest readmission to the nursing course; however, readmission is not guaranteed. Students may requestreadmission once during the Associate of Applied Science in Nursing program. Readmission is contingent on spaceavailability and not guaranteed. Readmission requests must be submitted in writing to the Director of Nursing. Theletter should address actions implemented to resolve the issues responsible for exiting the program. The Director of

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Nursing will review requests for readmission. Written requests must be submitted by March 1st for Fall semester andOctober 1st for Spring semester.

Transfer Students/Advanced PlacementStudents wishing to transfer to the Coconino Community College Associate in Applied Science in Nursing programfrom another nursing program and seek advanced placement must provide the following documentation andschedule an interview with the Director of Nursing. The application process includes:

● Completion of Associate in Applied Science in Nursing Degree program admission requirements as outlined inAdmission requirements

● Completion of an application according to published procedure of the current year (this includes AZ LNA license,DPS fingerprint clearance card, and ATI TEAS test score)

● Submission of letter(s) from previously attended nursing program(s) verifying performance and placement intheoretical and clinical levels

● Submission of official transcripts of prior coursework from the nursing program and all pre/co-requisites● Submission of all nursing course syllabi of classes completed

The Director of Nursing will determine eligibility and placement of the student based on evaluation of priorcoursework and information from previous program(s) prior to scheduling an interview. Acceptance is alsodependent on space available in class. If accepted, the student is required to complete documentation as outlinedin Health Requirements.

Advisors● Students will be assigned a nursing faculty advisor to assist them during the program. Students will meet with

their advisors each semester and as needed. Nursing faculty advisors can help guide you with career choices.● Each student is responsible for fulfilling degree requirements, but the Director of Nursing or an academic advisor

can help the student to understand academic requirements, changes in requirements, choose electives, and plana balanced program.

● Advisors may also assist students to utilize the resources available at CCC, including programs for improvementof study skills, financial aid, counseling, and health care.

GRADUATION REQUIREMENTSRequirements for graduation include:

● All co-requisite courses must be completed prior to or in sequential order listed on the curriculum outline.Students must receive a “C” or higher in all required general education and science courses and a “B” or higherin the nursing courses and successfully pass clinical rotations in order to progress through the nursing program.

● Successful completion of all required nursing program theory and clinical hours.● Students should follow other graduation procedures as described in the Coconino Community College catalog.● Graduation from the nursing program does not guarantee licensure.

HEALTH REQUIREMENTS

DocumentationThe following records must be completed and on file with the Nursing Department when applications aresubmitted. Health records are required in order for students to participate in clinical rotations. It is the student’sresponsibility to ensure that all forms and requirements are complete throughout the nursing program. Studentsare required to keep a copy of ALL documents for their own records, as they will be required to provide these toclinical agencies prior to participating in clinical rotations.

● Confidential Medical History Form● Negative TB skin test (must be current for the entire academic year) or a chest x-ray/other testing if skin test was

positive● Evidence of two (2) measles, mumps, and rubella (MMR) vaccines OR blood titer (must be read by healthcare

provider), which shows immunity *NOTE: rubella vaccine cannot be given to pregnant women.[10]

Updated 6/23/21 KC

● Evidence of two (2) varicella (chickenpox) vaccines OR blood titer, which shows immunity (must be read byhealthcare provider)

● Hepatitis B vaccine series record or signature declining this vaccine (the administrative assistant for the NursingDepartment has a declination form)

● Tdap immunization within ten (10) years● Flu vaccine (annually by November 1st)

Additional Documentation Required:● American Heart Association BLS Provider certification● Current Arizona Nursing Assistant License (LNA)● DPS Fingerprint Card, Level 1

Students continuing in the nursing program must update the following records prior to the start of each semesterin order to continue in the program and participate in clinical rotations:

● Health history form (if there is a change)● Emergency contact information (if there is a change)● Annual TB skin test, chest x-ray, or other form of tuberculosis testing● Current AHA BLS Provider CPR certification● Current Arizona Nursing Assistant License● Flu Vaccine (annually, due on November 1st of each year)● Any other health requirements implemented by clinical facilities (at any time in the school year)

These requirements must be up-to-date at all times during the program. It is the student’s responsibility toprovide an up-to-date copy of these records to the Nursing Department. Failure to provide up-to-date records willresult in the student not participating in clinical rotations until the requirements have been met. If students miss clinicaldue to not having up-to-date records will receive a grade of zero for the rotations missed, and the attendance policywill also be enforced.

Policy Related to Pregnancy, Medication, and other Health Related ConcernsStudents who are pregnant, under the influence of medication, or other health related concerns such that wouldprevent full participation in required clinicals and other competencies of the nursing program will requireconsultation with the course faculty and/or the Director of Nursing well in advance of clinical assignment or assoon as possible. This is not excluding students, but coordinating with faculty if less than full participation in allaspects of clinical requirements cannot be met.

Blood and Body Fluid/Needle-Stick Exposure ProtocolAll exposures to blood and other potentially infectious bodily fluids must be reported immediately to the clinicalinstructor and receive medical evaluation at the student’s expense.

● Any student sustaining blood or bodily fluid exposure as described above may elect to have an HIV antibody testperformed at the clinical facility, where possible, or at another health care facility. All efforts will be made toprotect student confidentiality. Students desiring a higher level of confidentiality may have testing performed atthe Coconino County Health Department or private health care provider’s office.

● Students sustaining significant exposure to blood/bodily fluids must report it to their instructor who will notifythe immediate supervisor and complete the appropriate documents required by the clinical agency. The CCCnursing program will follow the clinical agency policy and procedure on exposure.

● Those exposures requiring first aid (i.e., lacerations requiring sutures) will be referred for evaluation andtreatment in the Emergency Department.

● Students who receive a significant exposure to a known HIV source or known Hepatitis B carrier (HbsAg positive)will be referred immediately to the Emergency Department for initial evaluation. Follow up will be theresponsibility of the student and the student’s health care provider.

● When a student experiences an unprotected exposure to blood/bodily fluids while in a clinical agency, thestudent should be aware that the agency policy may mandate an incident report be filed. While the nursing

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program will make every effort to maintain confidentiality, the nursing program cannot be held responsible foractions taken by the clinical agency. The Nursing Program will maintain a record of exposure incidents.

● If a student receives a bloodborne exposure or needle-stick during skills lab on the CCC campus, the student willbe sent for bloodborne pathogen blood draw. CCC will pay for the first lab draw, and the student will beresponsible for the cost of subsequent follow up.

GIFTSStudents may not give or receive any gifts of patients/clients or their families. Students should not give or receivegifts to nursing faculty or clinical instructors.

ACADEMIC POLICIESCCC has numerous policies to which students and employees must adhere. The policies that communicateexpected student conduct in class and clinical experiences are listed here. Full copies are included in Appendix Aof this handbook. Students can access CCC policies on the website (https://www.coconino.edu)

Code of ConductBehavior that interferes with the orderly functioning of the college or adversely affects an individual’s pursuit ofeducation, or disrupts the learning environment is prohibited. For a complete list of prohibited behaviors, seethe College’s full Code of Conduct Procedure (503-01). Any violation of the Code of Conduct, Professionalism,Respectful Behavior, Academic Honesty/Integrity, Cell Phone/Social Media, Dress Code, Arizona Nursing Practice Act,or Safe Practice Policies, will be subject to the following discipline procedure. Violations will follow the studentthroughout the entire nursing program.

1. First offense: Verbal warning will be given to the student from the instructor. Written documentation of theverbal warning will be placed in the student’s file.

2. Second offense: Written letter of warning will be issued to the student. With the written warning, the student,instructor, and Director of Nursing will provide a signature, and the document will be placed in the student’s file.Students are required to create a written action plan to correct the behavior.

3. Third offense: A meeting with the instructor and Director of Nursing with consideration for dismissal from theprogram.

ProfessionalismNursing professionalism occurs both inside and outside the classroom. Professionalism includes the following behaviors.Students not practicing the above behaviors will be subject to discipline (see Code of Conduct).

1. Preparedness (class and clinical)2. Time Management3. Quality of Work/Accountability4. Teamwork/Leadership5. Respectful Behavior6. Ethical Behavior7. Coachability/Self-Reflection8. Emotional Intelligence9. Motivation

Respectful BehaviorEveryone in the nursing program, including students, instructors and supervisors are expected to treat oneanother with kindness and respect. The following actions are considered disrespectful and exhibiting any of thefollowing behaviors may result in the disciplinary process (this is not an all-inclusive list).

● Gossiping● Spreading rumors by any means

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● Disrupting the learning environment● Bullying● Harassment● Physical violence, including restriction of movement or egress● Using or possessing weapons on campus or a clinical setting● Theft● Damage to school or personal property of another● Not taking personal accountability● Disrespectful communication

Academic Honesty/IntegrityThe CCC Department of Nursing anticipates that each student will pursue studies with purpose andintegrity. If students are not living up to the expected high standard of academic integrity, the value of theeducation that they are receiving, and the nursing degree they will receive, is compromised. Nursing students willbe held accountable to the CCC Academic Dishonesty (303-11) policy. Each student’s grade should reflect only thatstudent’s achievement. The following conduct shall be deemed to violate college policy and will be subject todisciplinary action.Plagiarism is the act of appropriating another person’s written, artistic, or musical composition or portionsthereof, or ideas, language or symbols and conveying the material as the product of one’s own mind withoutgiving credit to the originator. In written work, direct quotations, statements which are the result of paraphrasingor summarizing the work of another, and other information which is not considered common knowledge must becited or acknowledged usually in the form of a footnote. Quotation marks or a proper form of identification shallbe used to indicate all direct quotations.Cheating is the act of using or attempting to use, in an examination or other academic work, material,information, or study aids, which are not permitted by the instructor. Cheating includes, but is not limited to,having another person do research, write papers, complete assignments or take examinations for someone else.The submission of large portions of the same work as part of the academic work for more than one course can beconsidered cheating unless the instructor permits such submission.Fabrication is the invention of material or its source and its use as an authority in academic work. Fabricationincludes, but is not limited to inventing the data for a scientific experiment, inventing the title and author of apublication in order to use the invented publication as a source, or knowingly attributing material to an incorrectsource. Examples of the above may include, but are not limited to:

● Copying, writing, or presenting another person’s information, ideas, or phrasing without citing the originalsource

● Using a commercially-prepared term paper or project● Copying information from the test of another student● Using unauthorized materials during an examination● Obtaining illegally or attempting to obtain unauthorized knowledge of a test● Giving or selling to another student unauthorized copies of tests● Taking a test in place of another student or having someone take a test in his/her place● Unauthorized collaboration between students on a test, paper, project or activity● Forging, altering, or using college documents, records, forms or instruments with the intent to defraud or to

furnish false information to the college or to other agencies and educational institutions● Sharing faculty prepared materials

Any academic dishonesty will not be tolerated, if academic dishonesty is suspected or identified, the student willmeet with the course faculty and will be reported to the CCC Director of Nursing and the Director of StudentServices and action will be taken as per CCC policy.

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Cell Phone and Social Media UseUse of cell phones during class and clinical experiences is prohibited, unless the student is on an institutionallysanctioned break. All cell phones must be turned off during class. Cell phones are not to be taken into a clinicalfacility unless the instructor has given permission for their use to contact the instructor only. Students observedusing cell phones or tablets other than what the instructor has permitted will be asked to leave, and an absencefrom class or clinical will be recorded and calculated into the didactic or clinical grade. Students are forbidden touse cameras or the camera function on their phone to take photographs of any aspect of the clinical setting orexperience. This also includes any aspect of a patient’s chart. Students are prohibited from posting any material orphotographs of clinical settings on any form of social media. Violations will be handled via the CCC StudentDiscipline Policy (503-02), and hospital or clinic privacy/HIPAA policies.

Dress CodeSpecific dress standards are established for nursing students to present and maintain a professional andtraditional nursing appearance to patients, employees and visitors. The dress code allows for identification as astudent nurse, comfortable performance of duties, promotion of safety, and prevention of the spread of infectiousdiseases. Failure to comply with the dress code may result in disciplinary action. Consultation with the Director ofNursing or a primary nursing instructor is advised if the nursing student is experiencing difficulty complying withthe dress code.

● Approved white uniform top with college patch on left shoulder and Caribbean blue pants and white leather orleather-like) shoes are the required CCC student nurse uniform.

● The dress code is in effect in all didactic classes and clinical experiences unless otherwise specified by theinstructor.

● Identification badges are to be worn at all times above the waist with the name visible. Only the CCC ID badge isto be worn on the college campus.

● Hair must be clean and neat at all times. Hair longer than shoulder length must be pulled back. Facial hair mustbe clean, neat and well groomed. Medical or religious head covers may be worn.

● CCC and CCC Nursing t-shirts with the approved scrub pants may be worn to didactic class, skills sessions, andsimulation lab at the discretion of the instructor.

● Nursing uniforms must be clean and pressed for personal and patient safety. If, for any reason, the officialcollege nursing uniform no longer fits, is torn, damaged or stained, the student will be expected to replace it.

● Uniforms must fit properly. This means that they are loose enough to permit free and unobstructed movement.● Only a white lab coat, white sweater, or white jacket can be worn over the official uniform. A CCC Nursing

embroidered jacket can also be worn.● Jewelry should not detract from the functions of a student nurse. Watches are encouraged, and should be able

to display the time with seconds. Stud earrings may be worn. Jewelry through facial piercings must be removedfor classes and clinical experiences. Ear gauges are prohibited. Bracelets and necklaces are not allowed insimulation labs, skills labs or clinical settings. The only permitted rings are wedding and/or engagement rings.Decorative badge holders are prohibited.

● Fingernails should be clean and short with no polish. Acrylic or gel nails are not allowed as they have beenshown to spread pathogens.

● Perfume or cologne are prohibited as they can stimulate allergic reactions in other people.● Make-up may be worn as long as it is conservatively used.● Visible tattoos must be covered completely.● Hair must be of a natural-appearing color.● Clean, white, nursing shoes in good condition shall be worn by students. Shoes should be impervious to liquids

and provide reasonable protection from heavy or sharp objects. Open-toed or backless shoes are prohibited.

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ARIZONA NURSE PRACTICE ACT and SAFE PRACTICE POLICYAll nursing students and nursing faculty must uphold the elements of the Arizona Nurse Practice Act while theyare in the nursing student or nursing instructor role. Any violations of R4-19-40, Unprofessional Conduct, as statedbelow, may be reported to the Arizona State Board of Nursing for investigation, and may initiate the CCC StudentDiscipline (503-02) process. Violations may also result in removal from the course.

R4-19-403 Unprofessional ConductFor the purposes of A.R.S. & 32-1601(22) (d) any conduct or practice that is or might be harmful or dangerous to thehealth of a patient or the public includes one or more of the following:

1. A pattern of failure to maintain minimum standards of acceptable and prevailing nursing practice;2. Intentionally or negligently causing physical or emotional injury3. Failing to maintain professional boundaries or engaging in a dual relationship with a patient, resident or any

family member of a patient or resident;4. Engaging in sexual conduct with a patient, resident, or any family member of a patient or resident who does not

have a preexisting relationship with the nurse, or any conduct in the workplace that a reasonable person wouldinterpret as sexual;

5. Abandoning or neglecting a patient who requires immediate nursing care without making reasonablearrangement for continuation of care;

6. Removing a patient’s life support system without appropriate medical or legal authorization;7. Failing to maintain a patient record that accurately reflects the nursing assessment, care, treatment and other

nursing services provided to the patient;8. Falsifying or making a materially incorrect, inconsistent, or unintelligible entry in any record:

a. Regarding a patient, health care facility, school, institution or other work place location; orb. Pertaining to obtaining, possessing or administering any controlled substance as defined in the federal

Uniform Controlled Substances Act, 21 U.S.C. 801 et seq., or Arizona’s Uniform Controlled SubstancesAct, A.R.S. Title 36, Chapter 27;

9. Failing to take appropriate action to safeguard a patient’s welfare or follow policies and procedures of the nurse’semployer designed to safeguard the patient;

10. Failing to take action in a health care setting to protect a patient whose safety or welfare is at risk fromincompetent health care practice, or to report the incompetent health care practice to employment or licensingauthorities;

11. Failing to report to the Board a licensed nurse whose work history includes conduct, or a pattern of conduct thatleads to or may lead to an adverse patient outcome;

12. Assuming patient care responsibilities that the nurse lacks the education to perform, for which the nurse hasfailed to maintain nursing competence, or that are outside the scope of practice of the nurse;

13. Failing to supervise a person to whom nursing functions are delegated;14. Delegating services that require nursing judgment to and unauthorized person;15. Removing, without authorization, any money, property, or personal possessions, or requesting payment for

services not performed from a patient, employer, co-worker, or member of the public;16. Removing without authorization, a narcotic drug, controlled substance, supply, equipment or medical record

from any health care facility, school, institution or other work place location;17. A pattern of using or being under the influence of alcohol, drugs, or a similar substance to the extent that

judgment may be impaired and nursing practice detrimentally affected, or while on duty in any health carefacility, school, institution, or other work location;

18. Obtaining, possessing, administering or using any narcotic, controlled substance, or illegal drug in violation of anyfederal or state criminal law, or in violation of the policy of any health care facility, school, institution or otherwork location at which the nurse practices;

19. Providing or administering any controlled substance or prescription-only drug for other than acceptedtherapeutic or research purposes;

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20. Engaging in fraud, misrepresentation or deceit in taking a licensing examination or on an initial or renewalapplication for a license or certificate;

21. Impersonating a nurse licensed or certified under this Chapter;22. Permitting or allowing another person to use the nurse’s license for any purpose;23. Advertising the practice of nursing with untruthful or misleading statements;24. Practicing nursing without a current license or while the license is suspended;25. Failing to:

a. furnish in writing a full and complete explanation of a matter reported pursuant to A.R.S. 32-1664, orb. respond to a subpoena issued by the Board;

26. Making a written false or inaccurate statement to the Board or the Board’s designee in the course of aninvestigation;

27. Making a false or misleading statement on a nursing or health care related employment or credential applicationconcerning previous employment experience, education or credentials.

28. If a licensee or applicant is charged with a felony or a misdemeanor involving conduct that may affect patientsafety, failing to notify the Board in writing, as required under A.R.S. 32-3208, within 10 days of being charged.The licensee or applicant shall include the following in the notification:

a. Name, address, telephone number, social security number, and license number, if applicable;b. Date of the charge; andc. Nature of the offense;

29. Failing to notify the Board in writing, of a conviction for a felony or an undesignated offense within 10 days of theconviction. The nurse or applicant shall include the following in the notification:

a. Name, address, telephone number, social security number, and license number, if applicable;b. Date of the conviction; andc. Nature of the offense;

30. For a registered nurse granted prescribing privileges, any act prohibited under R$-19-511(D); or31. Practicing in any other manner that gives the Board reasonable cause to believe the health of a patient or the

public may be harmed.

Medication AdministrationIn order to ensure that all student nurses understand their responsibility to practice within the context ofpatient safety, students are expected to achieve and to maintain an increasing level of competence related to safepatient care. An essential aspect of safe patient care is the accurate and safe administration as well as vigilantsurveillance of any medication given to patients. Medication administration includes preparation, administration,and documentation of each medication. Medications are to be administered according to facility protocol.Students are required to use the Three Checks and the Eight Rights procedures in the preparation and administrationof medication. The Three Checks used to determine the right medication are

● The medication is compared to the order● The medication is compared to the Medication Administration Record (MAR)● The medication is compared to the patient

Accurate administration of a medication is assured by adhering to the Eight Rights● Right patient● Right medication● Right dose● Right time● Right route● Right documentation● Right reason● Right response

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Two identifiers are used properly to identify every patient prior to administration of any medication. Theidentifiers include: patient’s name, patient’s birth date, and the assigned identification number. The first two arethe preferred methods. If the patient is competent, confirmation should occur with the patient (i.e., ask thepatient name and date of birth). These identifiers are to be compared with the MAR at the patient’sbedside. Additionally, students are expected to be able to accurately calculate medication dosages and tounderstand the importance of giving medication in a timely manner to patients across the lifespan. During eachsemester, nursing students are required to take a medication calculation test prior to attending clinical rotations.Additional information regarding the medication calculation tests is located in each semester’s syllabus.

OccurrencesOccurrences are defined as any circumstances that deviate from expected behavior. Each occurrence will bedocumented by the clinical instructor. After discussing the occurrence with the student, the instructor and thestudent will sign the documentation. This documentation can be used when there are concerns related to thepreparation, administration, and/or documentation of medications or the eight rights. It will also be reviewed,signed by the Director of Nursing and placed in the student’s file.

Chain of CommandUsing the chain of command in a professional role such as nursing is of utmost importance and is required by the nursingprogram. Chain of command is often used in conflict resolution but should be used for almost all decision making. Pleaseuse the following chain of command when decisions and conflict resolution are needed. If a resolution cannot be made,then moving up the chain is an appropriate action. All incidences in which something must be moved up the chain will bedocumented.

1. Discuss directly the person(s) involved.2. Discuss with the instructor.3. Discuss with the Director of Nursing. If the Director of Nursing cannot provide a solution, then the Director of

Nursing will move up the chain of command within the college.At the request of the clinical partners, students are not allowed to discuss or make requests regarding the clinicalschedule or Capstone assignments with clinical facilities. This is unprofessional and unethical. Clinical facilities will reportthese behaviors directly to the Director of Nursing, and the student will be disciplined according to the Code of Conductpolicy.

Student AppealsStudents may appeal a grade or other academic decision made by the nursing department which would affect thecompletion of course requirements. The student must follow the CCC Student Academic Appeals procedure.

CRIMINAL BACKGROUND CHECKIt is a requirement that all applicants to the nursing program provide a copy of a Fingerprint Clearance Card issuedby the Arizona Department of Public Safety as well as have a Licensed Nursing Assistant license issued by theArizona Board of Nursing (AZBN). Those seeking an RN license through the state of Arizona must “submit a full setof fingerprints for the purpose of obtaining a state and federal criminal records check” per the A.R.S. § 32-1606statute.

INTERPRETATION OF FELONY BAR STATUTESFor purposes of the Nursing Board’s felony bar statutes, A.R.S. Sections 32-1606(B) (17) and 1646(B), thecommission of any felony offense on or after July 23, 2010, which results in a conviction of an undesignatedoffense, shall be treated by the Board as a felony “until such time as the court may actually enter an orderdesignating the offense as a misdemeanor” pursuant to A.R.S. Section 13-604(A).

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"Felony bar" cases:If a person has been convicted of a felony, the person is not eligible to apply for licensure or certification with theArizona State Board of Nursing until 3 years after the “absolute discharge” of the sentence. “Absolute dischargefrom the sentence” means completion of any sentence, including imprisonment, probation, parole, communitysupervision or any form of court supervision. This also includes payment of all restitution, fines, fees, etc. If theconviction is reduced to a misdemeanor, or set aside, dismissed, etc., the 3-year bar may no longer be applicable,but the Board may still consider the conduct involved, and the person’s application will be considered on a “caseby case” basis.Unless you are currently prevented from applying licensure or certification due to the “felony bar” statute, Boardstaff cannot tell you whether the Board will grant your application for licensure/certification. Board staff alsocannot give you advice about whether to continue your nursing education. The decision to license or certify anApplicant is made by the Board, only after the investigation is complete.

SUBSTANCE ABUSEThe nursing program abides by the CCC Drug and Alcohol Screening for Nursing Students, Procedure 106-02. CCC isa drug-free campus and prohibits anyone, including a medical marijuana cardholder from possessing or using it oncampus. The nursing program also abides by clinical facilities’ policies on the use of medical marijuana and othercontrolled or illegal substances. Violation of this policy may result in the immediate dismissal of the student fromthe nursing program. See Appendix A.

ATTENDANCE POLICYStudents are expected to attend classes as scheduled and be on time. The Department of Nursing AttendancePolicy is more rigorous than the CCC Attendance policy (303-02), and is permitted by that policy. Attendance willbe taken in all classes and clinical experiences. Recording of absences will be at the discretion of the instructor.

● Students are expected to attend all scheduled classes and clinical experiences● It is up to the instructor to determine when and how to make-up missed topics.● It is the student’s responsibility to meet with the instructor for missed topics or alternative experiences.● Students in the final semester are required to attend a 3-day live NCLEX-RN review offered at no additional cost

by the Nursing Program.● A student absent more than two days in theory class or more than one day of clinical in a semester will be

dismissed from the nursing program.The Nursing Program will require students to perform a self-assessment of health prior to attending class, clinical, skillslab/simulation, and any other required activities. If anyone is sick or concerned that they may be sick, please contact theinstructor to make arrangements for that day.

ACADEMIC GRADING POLICYEach course syllabus contains course outcomes, competencies, and information regarding the determination ofthe final grade. The CCC Nursing Department follows CCC policies on Academic Grading (303-05), found inAppendix A of this handbook, and on the CCC website.

● A grade of “B” or higher in all NUR courses is required to progress through the program.● If a nursing student does not meet the following criteria, the student will receive a final grade no higher than a

“C” and cannot progress to the next semester.A. Maintain a minimum of an 80% average in each courseB. Pass all semester final exams with a score of 80% or higherC. “Passing” grade for clinical performance (see Clinical Grading Policy)

● There will be no rounding off of any grade.● If at any point, the student has an exam score less than 80%, the student is required to meet with the instructor

to develop a plan for passing the course with a minimum of 80% average (see the following section titled,“Academic Notification”). It is the student’s responsibility to schedule a time with the instructor.

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● In order to attend clinical and pass medications, students must score 100% on a medication calculation test. If astudent does not score 100%, the student will be required to remediate, and a second test will be given. If astudent does not score 100%, there is a risk for dismissal from the program.

● Midterm and Final Exams may not be rescheduled. If a student misses a Midterm or Final Exam due to anythingother than an illness, a zero will be given for the exam.

● Extra credit may be earned at the discretion of the course instructor. Extra credit points will not be given if thestudent has not completed all assigned work. Extra credit points will be applied once an 80% average score hasbeen achieved at the end of the course. Extra credit points will not be transferred from one course to another.The following activities are approved and must be available to all students (who qualify) and approved by theinstructor.

A. Read relevant literature and provide a report and/or class presentationB. Volunteer in the communityC. Teach a mini-topic to the classD. Other activities approved by the instructor

● If a student fails a final exam, a re-test may be given with the instructor and Nursing Department Directorapproval; however, it is not guaranteed. Re-testing will be given within seven (7) days of approval. A student willnot receive a score of more than 80% on a re-test and will be a different test than the final exam initiallyadministered.

Grading Scale

Letter Grade Percentage

A 90-100%

B 80-89%

C 70-79%

D 65-69%

F <65%

Overall semester grades will be determined by a combination of scores as follows for NUR 116, NUR 124, NUR 215,and NUR 220:

Activity Percentage of Total Grade

ATI 10%All assignments are to be completed to receive agrade in the course.Class Assignments and

Homework15%

Simulation/ClinicalAssignments

20% Clinical assignments include concept maps, careplans, journals, simulation activities, etc.

Quizzes and Exams 30%

Final Exam 25%

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Overall semester grades will be determined by a combination of scores as follows for NUR 114 and NUR 222(courses without a clinical or simulation component):

Activity Percentage of Total Grade

ATI 10%All assignments are to be completed to receive agrade in the course.Class Assignments and

Homework30%

Quizzes and Exams 30%

Final Exam 30%

Academic NotificationIf at any time during the semester a student scores below 80% academically or is evaluated as being unsafe in theclinical setting, the student will be placed on academic notification. The student must make an appointment withthe instructor to discuss strategies to improve their academic performance. The student will continue to consult theinstructor to discuss progress until their academic average score is 80% or above. The student may need to showproof of meeting with a tutor. The instructor will document progress and student behaviors. At the end of thesemester if the student’s academic grade continues below 80% or does not have a passing grade of 80% or higher inclinical experiences, the student will not be allowed to progress in the nursing program.

Assessment Technologies Institute (ATI)The CCC nursing department uses ATI to supplement student learning throughout the program. There are many aspectsof ATI that will be used including modules, tutorials, and practice/proctored assessments. ATI will be assigned throughouteach semester. Please review the following policy regarding the ATI Assessment and Dosage Calculations.

TECHNOLOGY REQUIREMENTSIt is important to explore the various modes of learning in the nursing program. In addition to the traditionalclassroom learning, there are numerous computer requirements. Each course will have mandatory onlinecomponents as well as other online lessons, research projects, assignments and email communications. SeeAppendix C for technology requirements in simulation and clinical.

● Nursing students must have access to a computer every day.● It is highly recommended that students have a laptop computer for proctored testing.● If a student does not have a laptop computer or have the ability to obtain one, the student may use the

computer lab on campus.● Arrangements can be made regarding a computer cart for web-based testing during class.● If a student needs help with IT support, the IT Help Desk can be contacted by calling 928-226-4357 or emailing

it.helpdesk@coconino.edu.

CLINICAL REQUIREMENTS● Students are responsible for providing their own transportation to all clinical facilities.● Clinical sites may be outside the Flagstaff city limits.● Students are expected to be fully prepared for clinical experiences as outlined in each course/clinical syllabus.● Students must dress in the approved CCC nursing program uniform.● Students must adhere to legal, ethical, and professional standards of practice.● Students who exhibit unsafe, illegal, unethical, and unprofessional behavior will be immediately removed from

the clinical facility, and may be dismissed from the nursing program.● Students are expected to abide by the policies and procedures of the clinical facilities.

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● Cell phones are prohibited from use during clinical experiences except with the permission of the instructor forthe purposes of contacting the instructor.

● Attendance at all clinical experiences is mandatory.● In case of an emergency or absence the clinical instructor is to be notified prior to the scheduled clinical start

time.● Students must adhere to professional boundaries with clients.● All student nurses are responsible for completing agency specific mandatory modules. Mandatory modules are

areas of information that are deemed vital to faculty, students and other personnel working or having clinicalrotation at the agency and who participate in providing direct patient care. All students are required to completetheir facility-specific mandatory learning modules prior to attending clinical experiences.

● Students will be required to set at least one meaningful goal for the day.● Leaving a clinical site campus for lunch or breaks is not allowed.● In order to attend clinical and pass medications, students must score 100% on a medication calculation test.

Supervision During ClinicalSupervision of clinical activities should be as follows:

● One clinical faculty member must be on site while students are providing direct care to clients in facilities thatoffer 24-hour care (hospitals, skilled nursing facilities, long term care facilities, etc.).

● Community clinical experiences must have a preceptor or nursing faculty on site at all times while students areproviding direct care to clients.

● Each clinical faculty member shall be assigned to no more than 10 students at a time, whether it is an onsite orprecepted clinical experience.

● Precepted clinical experiences shall have a preceptor who is licensed at or above the level of the program byholding an Arizona license in good standing or holding multi-state privilege to practice in Arizona.R4-19-206(E)(1)(a).

● The Arizona Board of Nursing has published an Advisory Opinion on The Role of the Clinical faculty. CCC includesthis in its supervision of clinical activities policy.

● Certain community-based clinical rotations may not require an instructor to be present.● Any variation from a normal set clinical schedule must be communicated in advance to the nursing faculty for

approval.The clinical instructor has the responsibility for supervision in the preparation and administration of medicationsduring clinical. The manner in which preparation and administration of medications shall be supervised is left tothe sound discretion of the instructor, except as follows.

● All medications are checked with the MAR by the instructor or designee (preceptor, primary nurse, or staff nurseassigned to the patient).

● Throughout the program, administration of any medication by the IV route is always under continuous, directsupervision of the instructor or designee.

Clinical Grading PolicyAll clinical experiences will be graded as Pass or Fail. To pass, the student must successfully meet stated objectiveson the clinical evaluation tool. Failure to pass will result in failure of the course, and maximum grade of “C” willbe recorded for the final grade. A student must pass clinical to continue in the nursing program. A passing grade inclinical is determined by the course instructor. See Appendix H.Clinical performance is graded through formative and summative assessments.

● Formative assessment: the clinical instructor will provide feedback on the student’s performance at the end ofeach clinical experience, using a standardized clinical evaluation tool

● Summative assessment: the course or clinical instructor for each class will meet with the student and provide amid-term and/or final clinical evaluation; the final clinical evaluation will be the student’s final Pass or Fail gradefor the clinical portion of the course.

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Students will bring the following to all clinical rotations and lab days● Bandage scissors● Pen with permanent black ink● Stethoscope preferably with diaphragm and bell● Penlight● Watch with seconds display● Skills booklet

Personal Belongings in the Clinical SettingSpace is not provided for nursing students in clinical settings. It is recommended that students bring only theminimum personal items with them during clinical rotations. The clinical agencies and CCC are NOT responsiblefor lost or stolen items during clinical rotations.

InsuranceBlanket Liability coverage is provided. However, students need to provide their own health and auto insurance.

Missed Clinical ExperiencesClinical rotations are an important and necessary part of the nursing curriculum and learning experience.Placement of CCC nursing students is limited and competitive with other nursing schools. Student attendance atclinical rotations is mandatory. If a student must be absent from a clinical experience day due to an emergency orillness, the instructor must be notified at the earliest possible time. There is no guarantee of make-up clinicalexperiences, and the student will get a zero (0) score for that clinical day which will be averaged into their finalclinical grade. See Attendance Policy.

Working Prior to Clinical Rotations● Students enrolled in the CCC nursing program CANNOT work for eight (8) full hours prior to any clinical rotation

or class.● This is a safety requirement to ensure that students can drive to and from class safely, and safely participate in

the care of patients during clinical experiences.● This also assures that nursing students are in optimum physical and mental condition to learn.

Communicating with Clinical FacilitiesAt the request of the clinical partners, students are not allowed to discuss or make requests regarding the clinicalschedule or Capstone assignments with clinical facilities. This is unprofessional and unethical. Clinical facilities will reportthese behaviors directly to the Director of Nursing, and the student will be disciplined according to the Code of Conductpolicy.

STUDENT RIGHTS AND RESPONSIBILITIESStudent Participation in Program/Student RepresentativesEach student cohort will elect two student representatives. The purpose of student representatives is to enhancecommunication of class concerns, issues and requests to the Director of the CCC Nursing Department. SeeAppendix F for full details. The role of the class representatives includes the following.

● Act as a liaison between their class as a whole, the nursing faculty, and administration● Participate in monthly meetings with the Director of the CCC Nursing Department● Communication and implementation of procedural or academic changes● Develop leadership skills

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Student EvaluationsStudent evaluations are important to the Nursing Program as they allow student input into potential changes tothe program and allow the program to constantly improve the delivery of education to nursing students. Theseevaluations are offered in the latter portion of each semester, and the evaluations will be offered on Canvasand/or on paper. Faculty will allow time in the classroom for the evaluations to be completed. The NursingProgram provides students the ability to anonymously evaluate the following areas

● faculty,● nursing courses,● clinical experiences,● resources, and● the overall program

COMMUNICATIONIt is the nursing student’s responsibility to provide current and updated contact information to the nursingdepartment. It is vital to the student’s success that the student may receive and provide communication to thenursing department. This includes current telephone numbers including home and cell phone, mailing address,and email address. Students are required to have a CCC email address for communication and it is the student’sresponsibility to check their email on a daily basis. Private emails will not be used for program correspondence.

SNOW DAYSPer CCC policy, CCC may close all campuses because of hazardous winter weather conditions. When this occurs, adecision will be made by 6 am, and a notice will be immediately released to local radio stations, college website,and recorded on the main CCC phone number 928.527.1222. Additionally, there may be instances when thecollege opens later than usual, at 10 am or noon, when road conditions are expected to clear later in the morning.When this occurs, morning classes will begin at the time the college opens (i.e. 0830 am class will begin at 10:00am if that is when the college is scheduled to open). Classes regularly scheduled after the college opens will meetat the normal time. It is the student’s responsibility to find out whether classes are meeting.For clinical rotations, snow days declared by FUSD are not a guarantee of a day off from clinical. If CCC declares asnow day, then clinical rotations for the day shift will be canceled per policy. If CCC declares a one or two-hourdelay, you will receive communication from your instructor whether to come to clinical or not. Please plan yourschedule and family care accordingly. If there is any doubt about cancellation of a clinical, the student will need tocontact their clinical instructor.

STUDENT SAFETYSafety is a right of all students who attend CCC. It is the college’s duty to provide a safe environment for studentsto learn. The following CCC policies are not all inclusive. A complete listing of the college’s policies is located onthe website.

1. Safety and Security 1212. Campus Law Enforcement and Reporting Criminal Actions and Emergencies 121-02.3. The 2020 Annual Security Report is published on the CCC website

(https://www.coconino.edu/resources/files/pdfs/security/Crime-Report/Crime_report_2020.pdf).4. Sexual Harassment and Misconduct 105-01

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APPENDIX A: Coconino Community College Policies (not a complete list)

The policies listed here, and included in their entirety are some of the most important policies to nursing studentacademics and conduct. The full complement of CCC Policies are available to you via the College website(https://www.coconino.edu/policies-and-procedures). You must be familiar with the following 10 policies, as theysignificantly affect you during your tenure as a CCC nursing student. Please bring any questions or concernsregarding these policies to your instructor or the Director of Nursing.

● 106-01 Drug and Alcohol-Free Workplace

● 106-02 Drug and Alcohol Screening for NursingStudents

● 303-02 Attendance

● 303-05 Grading

● 303-06 Student Academic Appeals

● 303-11 Academic Dishonesty

● 303-12 Academic Progress

● 501-11 Student Withdrawal

● 503-01 Student Code of Conduct

● 503-02 Student Discipline

● 503-03 Disruptive Behavior in the Classroom

● 503-05 Student Grievance

● Sexual Harassment and Misconduct

● Safety and Security

● Campus Law Enforcement and ReportingCriminal Actions and Emergencies

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Procedure on Screening for Use of Alcohol and Drugs

Impaired behaviors that are disruptive to the learning process violate the Coconino Community College Student Code ofConduct. A Nursing student in a clinical assignment, who is under the influence of alcohol or drugs that impairjudgment, poses a threat to the safety of clients. For these reasons, evidence of use of these substances, documented bypositive drug and/or alcohol screening tests, will result in immediate withdrawal of the student from the Nursing courseor program. In the event of an appeal, Coconino Community College will make every effort to expedite the appealsprocess and assure the student of fundamental fairness.1. “For Cause” Testing

a. Drug testing will be done at the discretion of the program. Students will be responsible for reimbursingthe program for the cost.

b. This policy refers to the use/misuse of, or being under the influence of alcoholic beverages, illegal drugsor drugs which impair judgment while on duty in any health care facility, school, institution or other worklocation as a representative of the CCC Nursing Program.

c. The student will be asked to submit to an alcohol and drug screening at a designated facility if thenursing faculty, clinical instructor, or staff at a clinical facility where the student is assigned:

d. Have reasonable cause to suspect that the student is mentally or physically impaired due to alcohol orsubstance abuse immediately prior to or during the performance of his/her clinical duties, or

e. Perceives the odor of alcohol or observes physical signs and/or behavior including, but not limited to,slurred speech, unsteady gait, confusion, or inability to concentrate.

f. Students will sign a consent form and have a blood or urine specimen collected according to currentprocedures.

g. The student will be removed from client care assignments, pending results of the test(s).h. Test results will be sent to the Director of Nursing or designee.i. The student will pay for all costs associated with the “for cause” drug-screening test. If the student fails

to pay for the costs associated with the drug-screening test, these costs will be added to his/her collegeaccount and a “hold” will be placed on the account.

2. Positive screening testa. If the results of the drug screening test is positive and the student provides documentation of a

prescription for the substance, the Director of Nursing and/or designee will consider the case incollaboration with the student and his/her health care provider. Each student will be asked to discloseprescription and over-the-counter medications he/she is taking at the time of testing.

b. If the results indicate a positive drug screen for alcohol, illegal substances, or medications not prescribedfor that individual, the Director of Nursing and/or designee will withdraw the student from the Nursingcourse for a period of one year.

c. If the student is a Certified Nursing Assistant or Licensed Practical Nurse, notification of positivescreening results will be sent to the Arizona State Board of Nursing or other jurisdiction where thestudent is registered, certified, or licensed (ARS 32-1601, 1202 et seq., AZ Administrative CodeR4-19-403).

d. After a one-year absence from the Nursing course, the student may apply for readmission according tothe guidelines below.

3. Must meet the current CCC and Department of Nursing requirements related to registration and admission tothe Nursing Program/Nursing-assistant course. Readmission for returning students is contingent on spaceavailable in the class.

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4. Must provide documentation of evaluation by an addiction counselor and his/her determination as to whetherthe student is addicted to alcohol/drugs.

5. If evaluation is positive, the student must provide evidence of rehabilitation related to the alcohol/drug illness toinclude all of the following:

a. Documentation of satisfactory completion of recognized substance abuse treatment program.b. Evidence of after-care attendance upon completion of the treatment program.c. Weekly attendance at a 12-step or other mutually agreed upon support group. Attendance will be

documented by the student and submitted to the Director of Nursing by the last day of each month.d. Letter or other acceptable documentation from treatment facility and/or therapist stating that the

student would be able to function effectively and provide safe and therapeutic care for clients in aclinical setting.

6. Students requesting readmission must have a repeat screening for alcohol and/or drugs immediately prior toreadmission.

a. Following readmission to the Nursing course, the student will be required to submit to periodic drugscreening at the student’s expense.

b. If a student, after being readmitted to the Nursing course, has positive results on an alcohol or drugscreening, he/she will be permanently dismissed from the Nursing course without opportunity forreadmission.

c. Following readmission to the Nursing course, the student who has been evaluated as having an addictionmust continue participation in a 12-step or other mutually agreed upon support group and submitquarterly documentation or he/she will be permanently dismissed.

7. Negative screening testa. If the results of tests indicate a negative drug screen for alcohol or drugs, the student shall meet with the

Director of Nursing or designee within two working days of the test results to discuss the circumstancessurrounding the impaired clinical behavior.

b. If the indicator was the odor of alcohol, the student shall meet with the Director of Nursing or designeewithin two working days of the test results to discuss the circumstances surrounding the impaired clinicalbehavior. The student may be required to discontinue the use of the substance that may have caused thealcohol-like odor, before being allowed to return to the clinical setting. A medical referral for evaluation,with a report provided to the Director of Nursing or designee, may be requested.

c. If the indicator was behavioral, consideration must be given to a possible medical condition beingresponsible for the symptoms. A medical referral for evaluation, with a report provided to the Director ofNursing or designee, may be requested.

d. Based on the information presented in the meeting, and a medical report if required, the Director ofNursing or designee will make a decision regarding return to the clinical setting.

e. If readmitted, the student must make up clinical absences incurred for testing under Section III above.8. Confidentiality

a. All test results will be sent to the Director of Nursing or designee. All results will be kept separate fromstudents’ regular files and will be handled as confidentially as possible. The Director of Nursing ordesignee may consult with college deans, nursing faculty, and others for appropriate action andfollow-up.

b. If a student in the Nursing Program is unable to submit to a drug or alcohol screening test (sections I andII above) in a timely manner, unless due to a documented emergency situation, or refuses to submit toscreening, the student will be removed from the Nursing course for a period of one year.

c. Appeals follow the usual Coconino Community College appeals process, Policy 303.6 - Grade Appeals andOther Course Requirement Decisions.

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APPENDIX B: Nursing Course Outlines

Please click on the following links to view the course outlines.

1. Introduction to Nursing Pharmacology (NUR 114) course outline

2. Nursing Concepts I (NUR 116) course outline

3. Nursing Concepts II (NUR 124) course outline

4. Nursing Concepts III (NUR 215) course outline

5. Nursing Concepts IV (NUR 220) course outline

6. Management and Leadership in Nursing (NUR 222) course outline

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APPENDIX C: Clinical and Simulation Information and Outcomes

The objectives are used throughout the entire nursing program for all students participating in clinical and simulationexperiences. An instructor will fill out an evaluation on how students perform based on the objectives.

Technology in Simulation and Clinical SettingsSimulation and clinical experiences require the use of technology such as simulation mannequins, IV volumetricpumps, electronic health records, and more. Instructors will work with students to become proficient in the use ofrequired technology throughout the nursing program. If a student does not feel comfortable with the technology, it isup to the student to ask for help from the instructors.

Simulation Lab Student Learning Outcomes1. Develop and/or improve clinical reasoning and prioritization 2. Deepen understanding of specific concepts3. Practice/improve/evaluate clinical skills4. Synthesis and application of theory, skills, clinical reasoning and prioritization5. Learn the role of a professional nurse6. Learn to function effectively as a member of a team7. Respond to authentic healthcare scenarios8. Practice new theory, skills clinical reasoning and prioritization in a safe (no harm to a real patient) environment

EPSLO Simulation Objectives

prioritize care for multiple patients Develop and/or improve clinical reasoning and prioritization

Synthesis and application of theory, skills, clinical reasoning andprioritization

demonstrate technical skills required of aregistered nurse

Practice/improve/evaluate clinical skills

Synthesis and application of theory, skills, clinical reasoning andprioritization

incorporate current evidence into clinicalpractice

Practice new theory, skills clinical reasoning and prioritization in a safe(no harm to a real patient) environment

demonstrate patients, self, environmentalsafety

Practice new theory, skills clinical reasoning and prioritization in a safe(no harm to a real patient) environment

demonstrate professional, ethical and legalbehaviors of a registered nurse

Learn the role of a professional nurse

utilize the nursing process effectively toprovide client-centered care

Respond to authentic healthcare scenarios

Deepen understanding of specific conceptsintegrate healthcare technology into clinicalpractice

Respond to authentic healthcare scenarios

function effectively within nursing andinterprofessional teams

Learn to function effectively as a member of a team

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Clinical Outcomes

1. Demonstrates professional behaviors2. Collects and analyzes comprehensive client data3. Plans appropriate client care4. Provides safe, client-centered care5. Engages in systematic and ongoing evaluation of the plan of care6. Applies knowledge relevant to client care7. Communicates effectively8. Uses teaching-learning process when providing individualized client/family/group education9. Exhibits caring to facilitate physical, mental, and spiritual health

EPSLO Clinical Objectives

prioritize care for multiple patients Plans and prioritizes appropriate client care

demonstrate technical skills required of aregistered nurse

Demonstrates safe and appropriate technical nursing skills including physicalassessment, medication administration, procedures, and interventions

incorporate current evidence into clinicalpractice

Applies knowledge relevant to client care

demonstrate patients, self, environmentalsafety

Provides safe, client-centered care

demonstrate professional, ethical and legalbehaviors of a registered nurse

Demonstrates professional behaviors

Exhibits caring to facilitate physical, mental, and spiritual healthutilize the nursing process effectively toprovide client- centered care

Collects and analyzes comprehensive client data

Engages in systematic and ongoing evaluation of the plan of care

Uses the teaching-learning process when providing individualizedclient/family/group education

integrate healthcare technology into clinicalpractice

Demonstrates safe and appropriate technical nursing skills including physicalassessment, medication administration, procedures, and interventions

function effectively within nursing andinterprofessional teams

Functions effectively within nursing and interprofessional teams to fostercommunication, collaboration, mutual respect, and shared decision making

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APPENDIX D: Nursing Technical Standards/Functional Abilities

IntroductionCertain functional abilities are essential for the delivery of safe, effective nursing care. These abilities are essential inthe sense that they constitute core components of nursing practice, and there is a high probability that negativeconsequences will result for clients under the care of nurses who fail to demonstrate these abilities. A programpreparing students for the practice of nursing must attend to these essential functional abilities in the education andevaluation of its students.This statement of the Technical Standards of the Nursing program at Coconino Community College identifies thefunctional abilities deemed by the nursing industry to be essential to the practice of nursing. The Technical Standardsare reflected in the Nursing program’s performance-based outcomes, which are the basis for teaching and evaluatingall nursing students.Students with disabilities who think they may require accommodation in meeting the Technical Standards of theNursing Program should contact Disability Resources (928-226-4323) to discuss the process of identifying reasonableaccommodations prior to starting the program. The program will collaborate with disability resources to determinewhich accommodations can or cannot be made within the requirements of the program. Reasonable accommodationwill be directed toward providing an equal educational opportunity for students with disabilities while adhering tostandards of nursing practice for all students. All placements in the clinical setting are contingent upon the NursingProgram partners’ policies, procedures and ability to reasonably accommodate requests for students to participate inthe program. It is the responsibility of the student to reach out to the Nursing Program’s partners on any reasonableaccommodation prior to the beginning of each semester. StandardsThe practice of nursing requires the following abilities with or without reasonable accommodations. Please note, theexamples listed are representative of what is required and the list is not absolute.

1. Visual acuity sufficient to assess clients and their environments and to implement the nursing care plans that aredeveloped from such assessments.

Examples of relevant activities:● Detect changes in skin color or condition● Collect data from recording equipment and measurement devices used in client care● Detect a fire in a client area and initiate emergency action● Draw up the correct quantity of medication into a syringe

2. Hearing ability sufficient to assess clients and their environments and to implement the nursing care plans thatare developed from such assessments.

Examples of relevant activities:● Detect sounds related to bodily functions using a stethoscope● Detect audible alarms within the frequency and volume ranges of the sounds generated by

mechanical systems that monitor bodily functions● Communicate clearly in telephone conversations● Communicate effectively with clients and with other members of the healthcare team to ensure

critical patient care details are shared accurately.3. Olfactory ability sufficient to assess clients and their environments and to implement the nursing care plans

that are developed from such assessments.Examples of relevant activities:

● Detect foul odors of bodily fluids or spoiled foods● Detect smoke from burning materials

4. Tactile ability sufficient to assess clients and their environments and to implement the nursing care plansthat are developed from such assessments.

Examples of relevant activities:● Detect changes in skin temperature● Detect unsafe temperature levels in heat-producing devices in client care

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● Detect anatomical abnormalities, such as subcutaneous crepitus, edema, or infiltratedintravenous fluid

5. Strength and mobility sufficient to perform client care activities and emergency procedures.Examples of relevant activities:

● Safely transfer clients in and out of bed● Turn and position clients as needed to prevent complications due to bedrest● Hang intravenous bags at the appropriate level● Accurately read the volumes in body fluid collection devices hung below bed level● Perform cardiopulmonary resuscitation● Able to reach across clients to attach or detach devices

6. Fine motor skills sufficient to perform client care and emergency procedures.Examples of relevant activities:

● Safely dispose of needles in sharps containers● Accurately place and maintain position of stethoscope for detecting sounds of bodily functions● Manipulate small equipment and containers, such as syringes, vials, ampules, and medication

packages to administer medications; able to perform these duties in a timely manner to notimpact client safety or well-being.

7. Physical endurance sufficient to complete assigned periods of clinical practice with prolonged periods ofstanding, sitting or walking of up to 12 hours in a day.

8. Ability to speak, comprehend, read, and write English at a level that meets the need for accurate, clear andeffective communication of vital client information.

9. Emotional stability to function effectively under stress, adapt to changing situations, follow through onassigned client care responsibilities and establish therapeutic boundaries.

10. Cognitive ability to collect, analyze, and integrate information and knowledge to make clinical judgementsand manage decisions that promote positive client outcomes.

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APPENDIX E: Minimal Knowledge and Skills/Scope of Practice

It is the responsibility of the nursing faculty to ensure that students and clinical facilities understand the students’scope of practice. The table below demonstrates the students’ scope of practice for each semester. Nursing studentsshould take their Skills Booklet to each clinical so faculty or preceptors can sign off skills.

First Semester Scope of Practice

Minimum Number of Lab/Clinical Hours: 90Clinical Facilities: Long-Term Care, Skilled Nursing, Coconino County Health Department

1. Communicationa. Establish nurse-client relationshipb. Interviewingc. Communicating with

i. Anxious clientii. Angry client

iii. Depressed clientiv. Client with dementia

d. Create therapeutic presencee. Interdisciplinary communicationf. Communication with preceptor

2. Physical Assessmenta. Temperature (oral, tympanic, rectal, temporal, axillary)b. Pulses (radial, pedal, brachial, femoral)c. Apical pulse and heart soundsd. Blood pressuree. Breath soundsf. Heart soundsg. Pulse oximetryh. Doppler auscultation of a pulsei. Skin assessmentj. Level of consciousnessk. Pain assessmentl. Focused assessmentm. Complete systems assessment

3. Infection Preventiona. Handwashingb. Universal/standard precautionsc. Droplet precautionsd. Contact precautionse. Use of PPEf. Donning and doffing sterile gown, gloves, cap, footwearg. Disposal of sharps and contaminated waste

4. Client Safetya. Patient identificationb. Bed rails/bed positioningc. Seizure precautionsd. Fall riske. Call lightf. Restraintsg. TED hose/SCDh. Aspiration precautions

5. Hygienea. Bathingb. Oral/denture care

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c. Perineal cared. Hair caree. Bed making occupied/unoccupied

6. Eliminationa. Bedpanb. Bedside commodec. Ostomy cared. Catheter insertion/care/removal (straight/indwelling)e. Enema (small and large volumes)f. Urine/stool specimen collectiong. Stool for occult bloodh. I/O measurement

7. Mobility and Positioninga. Body mechanicsb. Turning and positioningc. Transfersd. Ambulatione. Range of Motionf. Hydraulic liftg. Assistive devices: walker, cane, crutchesh. Gait belt

8. Nutritiona. Feeding clientsb. Feeding tube placement/care/removal (including feeding tube pumps)c. Nasogastric tube placement/care/removald. Blood glucose monitoringe. Dysphagia/swallow screening

9. Comforta. Pharmacologicalb. Nonpharmacological

10. Medication Administrationa. Dosage calculationsb. Oralc. Topicald. Inhalede. Nasogastric/feeding tubef. Nebulizerg. Ophthalmich. Otici. Rectalj. Vaginalk. Subcutaneousl. Intradermalm. Intramuscular

11. Wound Carea. Dry dressingsb. Wet to dry dressingsc. Non-stick dressingsd. Specialty dressingse. Wound irrigationf. Suture/staple removalg. Surgical tape removalh. Steri-strip applicationi. Jackson-Pratt drain carej. Hemovac drain care

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k. Penrose drain care12. Respiratory Care

a. Oxygen administrationi. Nasal cannula

ii. Simple face maskiii. Non-rebreather maskiv. Venturi maskv. Small volume nebulizer

b. Incentive spirometerc. Oral and nasal suctioningd. Oropharyngeal airway insertione. Nasopharyngeal airway insertionf. Bag valve mask ventilationg. Tracheostomy care and suctioning

13. Miscellaneousa. Mental status examb. Documentation

Second Semester Scope of Practice

Minimum Number of Lab/Clinical Hours: 90Clinical Facilities: Adult Medical-Surgical Acute Care, Outpatient Surgical Centers

First Semester Scope of Practice, plus1. Intravenous Care and Medications

a. Phlebotomyb. Insert/discontinue IVc. IV site assessmentd. IV infusion managemente. IV pumpf. IV push/bolusg. The following medications cannot be given IV push

i. Heparinii. Insulin

iii. Narcotic analgesicsiv. Chemotherapeutic agentsv. Electrolytes (any)

h. IV piggybacki. The following medications cannot be given IV piggyback: chemotherapeutic agents

i. Saline lock flushj. Advanced IV Carek. Central line carel. Administer/manage medications via central linem. Central line removal (no PA catheter removal)n. Patient controlled analgesiao. Indwelling venous port access/care

2. Advanced Assessment Monitoring3. Electrocardiogram (3 lead, 5 lead, 12 lead)4. Chest Tube Care

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Third Semester Scope of Practice

Minimum Number of Lab/Clinical Hours: 90Clinical Facilities: Adult Medical-Surgical Acute Care, Maternal-Child Acute Care, Inpatient/Outpatient PsychiatricFacilities

First and Second Semester Scope of Practice, plus1. Mental Health

a. Evaluate suicide riskb. Evaluate risk for violent behavior

2. Newborn/Labor and Delivery/Obstetric Care/Postpartuma. Maternal assessmentb. Fetal heart tonesc. Newborn ventilation with bag valve maskd. Fundal assessment and massagee. Placenta assessment and caref. Newborn assessmentg. Medication administrationh. Postpartum

i. Estimated blood lossii. Lochia

iii. Uterine tone/contractioniv. Vital signsv. Mother/neonate bonding

3. Pediatricsa. Developmental assessmentsb. Well child assessment

i. Height/weightii. Vaccination schedule

c. Physical assessmentd. Medication administration

4. Blood and blood product administration

Fourth Semester Scope of Practice

Minimum Number of Lab/Clinical Hours: 165Clinical Facilities: Adult Medical-Surgical Acute Care, Critical Care, Variety of Preceptorship Facilities

First, Second, and Third Semester Scope of Practice, plus1. Advanced Respiratory Care

a. Ventilator managementi. CPAP

ii. BiPAPiii. Mechanical ventilator

2. Advanced Assessment Monitoringa. Arterial line setup/care/discontinuationb. Patient Controlled Analgesia pump setup/

i. discontinuation**Student nurses may not manipulate or discontinue epidural catheters.

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Appendix F: Guidelines for Student Leaders (Representatives)

Title of Role: Cohort Year Nursing Student Representatives

2 Active Leaders: Selected by the class in the first week of a new cohort semester.

Purpose: The leaders will serve as a liaison between students and nursing faculty andadministration for the purpose of collaborative decision making.

Goals of Group: Provide a safe venue for students to voice concerns that will be shared within theappropriate channels.

To facilitate communication between students and faculty and administration.

Promote interactions between 2 active cohorts and serve as a resource for beginning tojunior students. Actively promote fellowship and mentorship between the 2 cohorts.

To collaborate with student peers on matters such as organization and planning ofcelebrations such as pinning ceremonies.

To organize activities as needed and requested by faculty and director; such as pinningceremony.

To create an open and engaging platform for dialog between students on a monthlybasis, at a minimum, and as needed when issues arise.

To disseminate information learned by faculty and administration to the student cohort.

Other duties as directed by faculty and director such as speaking to prospective students

Election and Term The entirety of the two-year program. If a student cannot fulfill the duties, then thecohort will elect another representative. First semester elections will be held during thefourth week of class.

Frequency of Meetings Student leaders will meet with the Nursing Program Director once a month. Studentand Communication/ leaders will host open forums for students once per month at a designated time toInformation Dissemination share information from faculty and administration, and to provide a forum forVehicle: students to present/discuss issues.

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Appendix G: Nursing Program Costs

Tuition*

1st Semester $191/credit hour @ 10 credit hours

2nd Semester $191/credit hour @ 9 credit hours

3rd Semester $191/credit hour @ 9 credit hours

4th Semester $191/credit hour @ 11 credit hours

Required Supplies/Uniforms

Uniform (including shoes) $100

Stethoscope $30-$50

Penlight $8

Watch with second hand $15

Certifications

CPR (AHA BLS Provider) $60 (2-year certification)

LNA license $100 (2-year license)

Health Documentation

Typhon Group Documentation Tracking Platform $60 (one-time fee during first semester)

TB skin test $12.50-$50** (renew yearly)

Influenza* $30** (renew yearly by November 1st)

Hepatitis B (3 injections or positive titer) $53 per dose** (titer $35)***

MMR (2 injections or positive titer) $85/dose** (titer $85)***

TdaP $42**

Varicella (2 injections or positive titer)* $150/dose** (titer $32)***

Textbooks****

1st Semester $460

2nd Semester $480

3rd Semester $150

4th Semester $200

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RN Licensing Fees (4th Semester)

AZBN RN license application $300

Fingerprint card $50

NCLEX-RN test registration (Pearson Vue) $200

*Does not include other fees required by the College

**Source: https://coconino.az.gov/DocumentCenter/View/22080/Clinic-Fees-212019?bidId=

***Source: https://www.sonoraquest.com/my-lab-request/

****Approximate cost

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Appendix H: Clinical Evaluation Tool

Expected Levels of Performance: For the Final Evaluation students must achieve the minimal expected level of

performance for each competency in order to pass the course and progress in the program.

Level Minimum Expected

Performance

Minimum

Average Score

Upon Completion of

I Novice — Assisted 1.5

II Assisted 2.0 First semester of clinical practice

III Assisted — Supervised 2.5 All interim semesters of clinical practice

IV Supervised — Self-directed 3.0 Final semester of clinical practice

Rating Scale

4: Self Directed Almost Never Requires (<10% of the time)Direction and guidance

Almost Always (>90% of the time)A focus on the client or system; accuracy, safety, and skillfulness;assertiveness and initiative; efficiency and organization; an eagerness tolearn

3: Supervised Occasionally Requires (25% of the time)Direction and guidance

Very Often Exhibits (75% of the time)A focus on the client or system; accuracy, safety, and skillfulness;assertiveness and initiative; efficiency and organization; an eagerness tolearn

2: Assisted Often Requires (50% of the time)Direction and guidance

Often Exhibits (50% of the time)A focus on the client or system; accuracy, safety, and skillfulness;assertiveness and initiative; efficiency and organization; an eagerness tolearn

1: Novice Very Often Requires (75% of the time)Direction and guidance

Occasionally Exhibits (25% of the time)A focus on the client or system; accuracy, safety, and skillfulness;assertiveness and initiative; efficiency and organization; an eagerness tolearn

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0: Dependent Almost Always Requires (>90%% of the time)Direction and guidance

Almost Never Exhibits (<10% of the time)A focus on the client or system; accuracy, safety, and skillfulness;assertiveness and initiative; efficiency and organization; an eagerness tolearn

Definition of Criteria:

1. Demonstrate professional behaviors

a. Follows university, school, and agency policiesb. Practices within the legal and ethical frameworks of nursingc. Assumes accountability for own actions and practicesd. Treats all individuals with dignity/respecte. Demonstrates cultural sensitivityf. Protects client rights (privacy, autonomy, confidentiality)

g. Demonstrates initiative in seeking learning opportunities and resourcesh. Analyzes personal strengths and limitations in providing carei. Incorporates constructive feedback for performance improvementj. Maintains professional appearancek. Maintains professional attitude and behaviorl. Arrives on time for clinical

m. Notifies faculty in a timely manner if he/she will be absent or laten. Prepared for clinical practiceo. Identifies situations in which assistance is needed OR appropriately seeks assistancep. Produces clear, relevant, organized, and thorough documentationq. Exhibits timely, legally accurate and appropriate documentationr. Communicates therapeutically with clients utilizing verbal and nonverbal skills

2. Collects and analyzes comprehensive data

a. Identifies relevant information/clues

b. Identifies appropriate sources for data collection

c. Uses correct techniques for assessment

d. Interprets laboratory/diagnostic test results

e. Incorporates data from client, family/support persons and health care team members3. Plans and prioritizes appropriate client care

a. Develops plan of care based on analysis of assessment data

b. Communicates priorities and rationale for decisions to instructor

c. Considers needs/preferences of the client in planning care

d. Establishes realistic goals/expected outcomes

e. Identifies appropriate resources to inform care planning4. Engages in systematic and ongoing evaluation of the plan of care

a. Evaluates nursing interventions based on goals/expected outcomes

b. Analyzes client data for accuracy and completeness

c. Revises plan of care based on evaluation and consultation

d. Involves client, significant others, and health team members in evaluation process as relevant

e. Demonstrates flexibility in adapting to changing client care situations5. Provides safe, client-centered care

a. Plans and implements evidence-based interventions that are congruent with assessment data

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b. Considers client needs and preferences in providing carec. Performs nursing skills and therapeutic procedures safely and competentlyd. Follows principles of infection controle. Follows procedures for medication administrationf. Recognizes own limitations related to nursing skills or technologies and takes appropriate steps for

improvementg. Creates a safe environment for client careh. Reports abnormal data and changes in client condition to preceptor or instructor in a timely manner

6. Applies knowledge relevant to client carea. Demonstrates initiative to obtain needed knowledge

b. Evaluates sources of data for appropriateness, usefulness, and accuracy

c. Relates pathophysiology and epidemiology of disease(s) to clients’ assessment findings, medications,laboratory and diagnostic test results, medical and nursing interventions

d. Integrates concepts of health promotion and disease preventioninto client care

e. Evaluates nursing practices based on current research evidence7. Uses teaching-learning process when providing individualized client/family/group education

a. Assesses learning needs of clients, families, and groups (includes readiness and barriers to learning)

b. Considers appropriate client characteristics in teaching (e.g., culture, age, developmental level, andeducational level)

c. Develops an appropriate teaching plan for learner needs

d. Specifies reasonable and appropriate outcome measures

e. Utilizes appropriate principles of teaching/learning when implementing a teaching plan

f. Evaluates learner outcomes, provides feedback, and revises teaching plan as needed

8. Exhibits caring to facilitate physical, mental, and spiritual health

a. Demonstrates sensitivity to cultural, moral, spiritual, and ethical beliefs of clients, families, peers, health careteam members, and others

b. Recognizes barriers to care such as socioeconomic factors, environmental factors, and support systems

c. Protects the client’s safety and privacy, and preserves human dignity while providing care

d. Encourages family and/or significant others’ participation in care as appropriate

e. Assists clients with coping and adaptation strategies

9. Demonstrates safe and appropriate technical skills for the client including physical assessment, medicationadministration, procedures, and interventions

a. Demonstrates safe practices when preparing and administering medications, including correct drugcalculations

b. Demonstrates completeness of full physical assessments and appropriate focused assessmentsc. Can perform procedures, skills and techniques with accuracy

d. Utilizes technology appropriately

10. Functions effectively within nursing and interprofessional teams to foster open communication, collaboration,mutual respect and shared decision making

a. Listens attentively and respectfully to othersb. Is actively involved in team building, fostering collegiality and encouraging cooperationc. Is assertive with communication of important information to clients and healthcare teamd. Communicates therapeutically with clients utilizing verbal and non-verbal skills

e. Advocates for patients within the healthcare system

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